Evidence map›Paper›PMID 41601539›Full record

ArticleFrontiers in neuroscience2025

Serum iron as a biomarker for "penumbra freezing" in patients with acute ischemic stroke.

Xianwen Zhang, Zhiyao Xu, Linyan Li, Huimin Deng, Qiang Zhou, Jianyu Liu, Hua Liu

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Article in Frontiers in neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xianwen Zhang *Department of Neurology, The Third People's Hospital of Chengdu (Affiliated Hospital of Southwest Jiaotong University), College of Medicine, Southwest Jiaotong University, Chengdu, Sichuan, China.
Zhiyao Xu *Department of Neurology, The Third People's Hospital of Chengdu (Affiliated Hospital of Southwest Jiaotong University), College of Medicine, Southwest Jiaotong University, Chengdu, Sichuan, China.
Linyan LiDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong, Sichuan, China.
Huimin DengDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong, Sichuan, China.
Qiang ZhouDepartment of Neurology, The Affiliated Hospital of Southwest Jiaotong University, The Third People's Hospital of Chengdu, Chengdu, Sichuan, China.
Jianyu LiuDepartment of Neurology, The Third People's Hospital of Chengdu (Affiliated Hospital of Southwest Jiaotong University), College of Medicine, Southwest Jiaotong University, Chengdu, Sichuan, China.
Hua LiuDepartment of Neurology, The Third People's Hospital of Chengdu (Affiliated Hospital of Southwest Jiaotong University), College of Medicine, Southwest Jiaotong University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Identifying salvageable penumbra is crucial for revascularization in acute ischemic stroke (AIS) patients presenting beyond standard therapeutic windows. Dysregulated iron metabolism and ferroptosis play significant roles in the pathophysiology of cerebral ischemia. This study aimed to investigate serum iron as a biomarker for identifying the "penumbra freezing" (PF) phenomenon in AIS patients who present beyond the conventional time window. Methods: This study included patients with AIS presenting late (beyond 4.5-h treatment window). Participants were classified into PF and absence of PF (APF) groups based on CT perfusion and EXTEND trial criteria. Multivariable regression analyzed associations with PF, and diagnostic accuracy was evaluated via ROC curves. Results: A total of 141 AIS patients were finally included (Age: 71.16 ± 12.37, 54% male). Serum iron levels were significantly lower in the PF group compared with the APF group (8.59 ± 4.34 μmol/L vs. 11.54 ± 6.37 μmol/L, Conclusion: Serum iron levels correlate with the PF phenomenon in AIS patients beyond the time window, potentially serving as an auxiliary biomarker to aid in identifying suitable candidates for delayed reperfusion therapy. This indicator offers convenient and rapid detection with clinical translation potential, though further validation in prospective, multicenter, large-scale studies remains necessary.

Indexed as

acute ischemic strokebiomarkerferroptosispenumbra freezingserum iron

Identifiers

PMID41601539
PMCPMC12832780

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